| NPI | 1003088758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCHERBINSKI Owner 260-409-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20042235A) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |